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以一家转诊医院为基础的因眼部受伤住院的流行病学研究。

Epidemiology of Eye Injuries Resulting in Hospitalization, a Referral Hospital-Based Study.

作者信息

Choovuthayakorn Janejit, Worakriangkrai Varisaporn, Patikulsila Direk, Watanachai Nawat, Kunavisarut Paradee, Chaikitmongkol Voraporn, Luewattananont Dao, Tananuvat Napaporn

机构信息

Department of Ophthalmology, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.

出版信息

Clin Ophthalmol. 2020 Jan 6;14:1-6. doi: 10.2147/OPTH.S234035. eCollection 2020.

Abstract

PURPOSE

To determine the characteristics of hospitalized eye injuries in Northern Thailand, a tertiary referral center.

METHODS

The medical records of patients who sustained an eye injury and were admitted to the Department of Ophthalmology, Chiang Mai University, Thailand, from February 2015 to February 2016 were retrospectively reviewed. Demographics and characteristics of each injury were collected.

RESULTS

A total of 249 injured patients were included, of which 227 (91.2%) were male. There was no significant difference in the mean (standard deviation) age between genders, 39.8 (22.9) years of age for females and 43.8 (17.8) for males ( = 0.43). Most injuries occurred in the workplace (149/249, 59.8%). Nearly similar proportions of the opened globe and closed globe injuries were observed, 121/249 (48.6%) patients and 109/249 (43.8%) patients. A small proportion sustained eyelid/adnexal and chemical injury, 19/249 (7.6%) patients. Corneal penetration (52/249, 20.9%) and intraocular foreign body (37/249 14.9%) were the most prevalent conditions for opened globe injury. Traumatic lens subluxation/dislocation (31/249, 12.4%) and a traumatic corneal ulcer (25/249, 10.1%) were the common conditions for closed globe injury. A delayed presentation to the hospital was noted in closed globe injury. The eyelid/adnexal injury group had a better final visual acuity compared to the opened and closed globe injury group.

CONCLUSION

Activities related to hospitalized eye injuries were varied in different age groups, specifically adults at workplace, and children at playground; therefore different strategies should be applied to prevent visual impairments and disabilities in specific high-risk groups.

摘要

目的

确定泰国北部一家三级转诊中心住院眼部损伤的特征。

方法

回顾性分析2015年2月至2016年2月期间因眼部受伤而入住泰国清迈大学眼科的患者的病历。收集了每位患者的人口统计学资料和损伤特征。

结果

共纳入249例受伤患者,其中227例(91.2%)为男性。男女平均(标准差)年龄无显著差异,女性为39.8(22.9)岁,男性为43.8(17.8)岁(P = 0.43)。大多数损伤发生在工作场所(149/249,59.8%)。开放性眼球损伤和闭合性眼球损伤的比例相近,分别为121/249(48.6%)例患者和109/249(43.8%)例患者。一小部分患者为眼睑/附属器损伤和化学伤,共19/249(7.6%)例患者。角膜穿通伤(52/249,20.9%)和眼内异物(37/249,14.9%)是开放性眼球损伤最常见的情况。外伤性晶状体半脱位/脱位(31/249,12.4%)和外伤性角膜溃疡(25/249,10.1%)是闭合性眼球损伤的常见情况。闭合性眼球损伤患者到医院就诊存在延迟。眼睑/附属器损伤组的最终视力优于开放性和闭合性眼球损伤组。

结论

不同年龄组住院眼部损伤相关活动各不相同,具体而言,工作场所的成年人以及游乐场的儿童;因此,应采用不同策略预防特定高危人群的视力损害和残疾。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d9a/6954083/4cee83b7bd9d/OPTH-14-1-g0001.jpg

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